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HomeMy WebLinkAboutWPO201500017 Application 2015-03-27 Community Development Department •°' Albemarle County 4D1 P' 'itire Road Charloftesville.VA 229D2-4596 — • -4 :f4341 296-5832 Fax:(434)972-4126 Planning Application *41i.■ PARCEL I OWNER INFORMATION TMP 07700-00-00-011E0 Owner(s): AVON HOLDINGS LLC Application# WP0201500017 PROPERTY INFORMATION Legal Description ACREAGE - Magisterial Dist. Scottsville v I Land Use Primary Commercial Current AFD Not in AfF District Current Zoning Primary Planned Development Shopping Center 7,1 APPLICATION INFORMATION Street Address Entered By odd Shifflett Application Type Water Protection Ordinances 3,'2712015 Project 15th Street Station- WPO Phase 1, Amendment II Received Date 03/25/15 Received Date Final Submittal Date Total Fees 200 Closing File Date Submittal Date Final Total Paid 200 Revision Number Comments Legal Ad SUB APPLICATION(s) Type Sub Applicatio Comment Erosion and Sediment Control Plan APPLICANT CONTACT INFORMATION ContactType Name Address CityState Zip Phone PhoneCell Owrvri4prt AVON HOLDINGS LLC ;P 0 BOX 1467 CHARLOTTESVILL 22902 ;nr15,7 C=r12::: DANIEL R. HINES, P.E., BOHLER 28 BLACKWELL PARK LANE, WA,RRENTON,VA 20186 5403494500 De,r•arli400kma,-: STEPHEN COLLINS 5 WEST BROAD STREET,SUITE FAIRBURN,GA 30213 7706928300 Signature of Contractor or Authorized Agent Date y.wr Virginia Stormwater Management Program (VSMP) Application for Albemarle County N � Project Name: 5th Street Station -WPO Phase I Amendment II (The name should be the same as it appears on plans) Is this an amendment to an approved plan? Yes No Is this a revision or resubmission for review? Yes ❑ No 1� County File Number: WP0201400035 (to be provided by the County for new applications) The following are required elements of new applications[from code section 17-401]. For revisions or amendments,please indicate which items are being amended. Signatures must be provided for any submission. El A. Signature of the Property Owner for each parcel: (Required with every submission or revision,NOT TO BE SIGNED BY AN AGENT OR CONSULTANT) By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be complied with,and I have the authority to authorize the land disturbing activities and development on the subject property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure compliance with the approved plans and permits. 76M 1-2B ��ptt r4/.S 3/25/15 Tax Map&Parcel � Name of Property Owner igna of Owner Date 76M1-2A 3/25/15 Tax Map&Parcel Print ame of Property Owner ignati of Owner Date 76M1-4A Cogsv_s 3/25/15 I�CT Tax Map&Parcel Print ame of Property Owner igna of Owner Date 7700-11 E r1 �T VOt(oks 64j# ' 3/25/15 Tax Map&Parcel Print ate of Property Owner igna of Owner Date Contact Information for the Owner(s)to receive correspondence: Print Name Stephen Collins ,dd 5 West Broad Street, Suite B City Fairburn State GA Zip 30213 Daytime Phone(770)692-8300 E-mail steve @sjcollinsent.com 7/1/14,Revised:7/10/14,1/7/14 Page 1 of 2 Neri 0 B. All Fees [Code section 17-208] For new or modified plans;Total acres proposed to be disturbed Acres to be Total Fee Fee Due with this Fee with Transfer or disturbed Application modification of permit Less than 1 $290 $145 $20 1 and less than 5 $2,700 $1,350 $200 5 and less than 10 $3,400 $1,700 $250 10 and less than 50 $4,500 $2,250 $300 50 and less than 100 $6,100 $3,050 $450 100 and more $9,600 $4,800 $700 For(minor)amendments to an approved plan;$200 per review Variances;$150(per request) Mitigation Plan;$150 © C. Registration Statement on the official DEQ form. ® D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402. ❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403. ❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404. ❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405. O H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of stream buffers. ❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408. ❑ J. Construction Record Drawings(as-builts)for any existing facilities in the proposal satisfying the requirements of code section 17-422. Provide 2 copies of all plans and any supporting documents. Professional seals must have original signatures. Additional information if not provided on plans and documents: Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent) Print Name Daniel R. Hines, P.E., Bohler Engineering Address 28 Blackwell Park Lane, Suite 201, City Warrenton state VA zip 20186 Daytime Phone(540)349-4500 E-mail dhines @bohlereng.com *When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's signatures will not be considered valid. FOR OFFICE USE ONLY 2 wro# Fee Amount$ 200 •c Date Paid 3/z 5 ah I of By &n9ineaing VA"LI-�xeceipt#°192..37 caps 225g" ay: 7/1/14,Revised:7/10/14, 1/7/14 Page 2 of 2